1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Internal Medicine
  6. NPI Profile

JI SUK KIM DO
NPI 1043913775
Internal Medicine in Long Beach, CA

Active since March 22, 2023PECOS Enrolled
1050 LINDEN AVE, LONG BEACH, CA 90813(562) 491-9140 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Mar 27, 2023, Mar 22, 2023 (3 updates tracked since 2023).

About Ji Suk Kim Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JI SUK KIM DO (NPI 1043913775) is an individual internal medicine provider in Long Beach, California, licensed in California (2978) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043913775
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJI SUK KIMCredential: DO
Location Address1050 LINDEN AVELong Beach, CA 90813-3321
Mailing Address1050 Linden AveLong Beach, CA 90813-3321 · (562) 491-9140
Phone(562) 491-9140
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 25, 20233 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1043913775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 2978
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1050 LINDEN AVE, Long Beach, CA 90813
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ji Suk Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARUN PANIKER DO
Student in an Organized Health Care Education/Training Program
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
DR. NEEL AMAR SHAH M.D.
Emergency Medicine
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9761
OLAMIDE SONUGA
Student in an Organized Health Care Education/Training Program
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
CHANTELL STRONG
Hospitalist
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9000
KELLY WANG DO
Internal Medicine
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
CAOVINH T LE DO
Student in an Organized Health Care Education/Training Program
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
ANGELINE CHANG BARNES MD A MEDICAL CORPORATION
Anesthesiology
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9000
JOHN PATRICK WOODS D.O
Surgery (Surgical Critical Care)
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (310) 554-4127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ji Kim's NPI number?

The NPI number for Ji Kim is 1043913775. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Ji Kim located?

Ji Kim practices at 1050 Linden Ave, Long Beach, CA 90813. The listed phone number is (562) 491-9140.

What is Ji Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ji Kim enrolled in Medicare?

Yes. Ji Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ji Kim was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.